CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Atrium Health Floyd Polk Medical Center

Billing Code: 93970 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$403

about 1.7× the $244 Medicare rate · typically $145–$664

modeled estimate · not a bill or quote

What this hospital charges insurers

$429

About the fair price

about $26 over the fair price · 1.8× Medicare

Medicare pays $244 Fair price $403 This hospital $429 Cash price $1,198 Hospital's list price $2,395

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $65 Priciest $429

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, leg veins (duplex) is about $403 (about 1.7× the $244 Medicare rate). Atrium Health Floyd Polk Medical Center charges insurers about $429, or about $1,198 in cash — about the fair price. Located in Cedartown, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$479 - $1,796	196%
Blue Cross Blue Shieldmajor	$414 - $1,789	170%
Aetnamajor	$479 - $1,629	196%
Cignamajor	$444 - $1,437	182%
Humanamajor	$479 - $1,557	196%
Ambetter (Centene)	$718	295%
Amerigroup	$326	134%
CareSource	$329 - $718	135%
Clover Health	$623	256%
Oscar Health	$467 - $838	192%
WellCare	$479	196%
+ 4 smaller / regional plans	$467 - $2,036

Government programs also on file: Medicaid.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,198), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 93970.

Insurance Before you use insurance

Call your insurance company to confirm Atrium Health Floyd Polk Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 93970.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Atrium Health Floyd Polk Medical Center

Compare: Ultrasound, leg veins (duplex) at other GA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.